Individual
MR. BRIAN WRAY SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
104 OXFORD ST, MARTIN, TN 38237-2428
(731) 587-3422
(731) 587-3424
Mailing address
PO BOX 288, MARTIN, TN 38237-0288
(731) 587-3422
(731) 587-3424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3717871
—
TN
01
—
4062540
PHYSICAL THERAPIST
TN
Enumeration date
07/12/2005
Last updated
07/09/2007
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